Select Medical Holdings (SEM) — Cash Flow Quality Index
Select Medical Holdings (SEM) has a Cash Flow Quality Index of -0.05x as of March 2026. Operating cash flow of $-3.46 Million is below net income of $74.73 Million, suggesting accrual-heavy earnings not yet converted to cash. Explore Select Medical Holdings cash flow to debt ratio to assess how comfortably operating cash covers total debt obligations.
Cash Flow Quality Index
Operating Cash Flow
Net Income
Data as of
Select Medical Holdings Cash Flow Quality Index (2006–2025)
Historical Cash Flow Quality Index for Select Medical Holdings across 20 annual periods. Values consistently above 1.0x indicate high-quality earnings. For the full cash flow conversion analysis, see Select Medical Holdings (SEM) cash flow conversion.
Annual Cash Flow Quality Index for Select Medical Holdings (2006–2025)
Year-by-year earnings quality comparison for Select Medical Holdings.
| Year | Quality Index | Operating CF (USD) | Net Income | YoY Change |
|---|---|---|---|---|
| 2025 | 2.37x | $346.47 Million | $146.22 Million | ▲ +35.8% |
| 2024 | 1.75x | $517.86 Million | $296.70 Million | ▼ -10.1% |
| 2023 | 1.94x | $582.06 Million | $299.73 Million | ▲ +35.0% |
| 2022 | 1.44x | $284.82 Million | $198.03 Million | ▲ +79.2% |
| 2021 | 0.80x | $401.23 Million | $499.95 Million | ▼ -73.1% |
| 2020 | 2.98x | $1.03 Billion | $344.61 Million | ▲ +34.7% |
| 2019 | 2.21x | $445.18 Million | $201.03 Million | ▼ -20.7% |
| 2018 | 2.79x | $494.19 Million | $176.94 Million | ▲ +158.8% |
| 2017 | 1.08x | $238.13 Million | $220.65 Million | ▼ -61.0% |
| 2016 | 2.77x | $346.60 Million | $125.27 Million | ▲ +80.5% |
| 2015 | 1.53x | $208.41 Million | $136.00 Million | ▲ +15.1% |
| 2014 | 1.33x | $170.64 Million | $128.18 Million | ▼ -14.9% |
| 2013 | 1.57x | $192.52 Million | $123.01 Million | ▼ -19.4% |
| 2012 | 1.94x | $298.68 Million | $153.89 Million | ▲ +0.8% |
| 2011 | 1.93x | $217.13 Million | $112.76 Million | ▲ +9.7% |
| 2010 | 1.75x | $144.54 Million | $82.36 Million | ▼ -16.4% |
| 2009 | 2.10x | $165.64 Million | $78.89 Million | ▼ -49.5% |
| 2008 | 4.16x | $107.44 Million | $25.83 Million | ▲ +71.3% |
| 2007 | 2.43x | $86.01 Million | $35.43 Million | ▲ +1.2% |
| 2006 | 2.40x | $227.65 Million | $94.88 Million | — |